The provider suspects that a 7-month-old client has Pyloric Stenosis. 

What physical exam finding is consistent with this disorder?

A cluster-of-grape like mass on the right side on rectal 

examination

A grapefruit-like mass on the left side on rectal examination

A sausage-like mass in the RUQ of the abdomen

A distinct “olive” mass in the epigastrium to the right of 

midline

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Question 2 1 / 1 point

The provider suspects that a 7-month-old client has been diagnosed 

with Intussusception. What exam finding is consistent with this 

disorder?

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A cluster-of-grape like mass on the right side on rectal 

examination

A grapefruit-like mass on the left side on rectal examination

A sausage-like mass in the RUQ of the abdomen

A distinct “olive” mass in the epigastrium to the right of 

midline

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Question 3 1 / 1 point

A 5-year-old client with a history of crying with bowel movements, 

bright red streaks of blood in the stool and withholding stools presents 

to the clinic. On exam, the anal mucosa shows small tears with the 

client in the knee-to-chest position. What is the most likely diagnosis 

and how is it treated?

Anal fissures; treat with sitz bath and topical steroid cream

Anal fissures, treat with sitz baths and topical antibiotic 

ointment

anal fissures; Tucks pads and analgesics

Anal fissures; referral to GI specialist for further evaluation

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Question 4 1 / 1 point

The guardians of a 7-month-old client newly diagnosed with 

gastroesophageal reflux is unsure of the proper way to care for the 

child. What information does the Provider share? (select all that apply

Use thickening agents in the formula

Administer the acid-suppression medications as prescribed

Place prone when sleeping

Avoid exposure of the infant to tobacco smoke